Organization
EUREKA PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAVITHA KUNHIRAMAN (MANAGER)
(636) 326-4414
Entity
Organization
Contact information
Practice address
54 THE LEGENDS PKWY, SUITE 153, EUREKA, MO 63025-3803
(636) 326-4414
Mailing address
349 TRAILHEAD WAY, DARDENNE PRAIRIE, MO 63368-7599
(636) 326-4414
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2004011002
MO
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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